<form action="https://www.paypal.com/cgi-bin/webscr" method="post">
<input type="hidden" name="cmd" value="_s-xclick">
<input type="hidden" name="hosted_button_id" value="EGHPJ8HLDCKAA">
<table>
<tr><td><input type="hidden" name="on0" value=""></td></tr><tr><td><select name="os0">
	<option value="One App Six Months 25% Discount">One App Six Months 25% Discount : $187.50USD - monthly</option>
	<option value="Five Apps Six Months 25% Discount">Five Apps Six Months 25% Discount : $973.50USD - monthly</option>
	<option value="Ten Apps Six Months 25% Discount">Ten Apps Six Months 25% Discount : $1,875.00USD - monthly</option>
</select> </td></tr>
<tr><td><input type="hidden" name="on1" value="Custom Requests">Custom Requests</td></tr><tr><td><input type="text" name="os1" maxlength="200"></td></tr>
</table>
<input type="hidden" name="currency_code" value="USD">
<input type="image" src="https://www.paypalobjects.com/en_US/i/btn/btn_subscribeCC_LG.gif" border="0" name="submit" alt="PayPal - The safer, easier way to pay online!">
<img alt="" border="0" src="https://www.paypalobjects.com/en_US/i/scr/pixel.gif" width="1" height="1">
</form>